Superpsyched, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SUPERPSYCHED, LLC

Practice address

8690 Broadway Ste a
Merrillville, IN 46410-7034

Phone

(219) 315-9700

NPI assigned

Jul 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charmanika MosleyNPI 1649501784

Title

Chief Executive Officer / Sole Owne

Phone

(219) 750-9600

Specialties & licenses 14

Addresses

Other names 1

• SUPERPSYCHED LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charmanika Kesona Mosley, SCHOOL PSYCHOLOGIST

  • Mental Health Counselor
  • Merrillville, IN
  • NPI 1649501784

  Speech-Language Assistant

  NPD Authorized official
• Nicole Austgen

  • Developmental Therapist
  • Merrillville, IN
  • NPI 1134817141
  NPD
• Janina Elzy

  • Counselor
  • Merrillville, IN
  • NPI 1275321747
  NPD
• Shalonda Hall, OT

  • Occupational Therapist
  • Merrillville, IN
  • NPI 1801550660
  NPD
• Watoris Mosley, TRANSPORTER

  • Driver
  • Merrillville, IN
  • NPI 1770399123
  NPD
• Jacquelyn R Scott

  • Social Worker
  • Merrillville, IN
  • NPI 1679361034
  NPD
• Tolanda Somerville-Philpotts, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Merrillville, IN
  • NPI 1760651863
  NPD
• Jazmyn Styles

  • School Psychologist
  • Merrillville, IN
  • NPI 1306600242
  NPD
• Michelle Watkins

  • Counselor
  • Merrillville, IN
  • NPI 1952199788
  NPD
• Amanda Lyn McKinney, PSY.D., HSPP

  • Clinical Psychologist
  • West Lafayette, IN
  • NPI 1407354632

  Psychologist

  NPD (past)
• Tashena Melton, MSW

  • Social Worker
  • Gary, IN
  • NPI 1023339587
  NPD (past)
• Joelle Niemzyk

  • Speech-Language Assistant
  • Merrillville, IN
  • NPI 1760173231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1447923321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 GOVERT DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463755126",
            "telephone_number": "708-679-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 BROADWAY STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107034",
            "telephone_number": "219-315-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERPSYCHED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "CHARMANIKA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER / SOLE OWNE",
        "authorized_official_telephone_number": "219-750-9600"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Human Factors",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@superpsychedllc.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8690 Broadway Ste A",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464107034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUPERPSYCHED LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPERPSYCHED LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Merrillville, IN
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.